Language
English (US)
Spanish (Latin America)
Self-Guided Field Trip Registration
Thank you for your interest in a field trip to the High Desert Museum! Please fill out the form below to register your class. For questions, please email classes@highdesertmuseum.org.
Contact Information
Group Name
*
Main Contact Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Lead Teacher's Email
*
example@example.com
Supporting Teacher's Email
example@example.com
Supporting Teacher's Email
example@example.com
Supporting Teacher's Email
example@example.com
Address
*
Street Address
Street Address Line 2
City
Please Select
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Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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Group Information
Number of Students
*
Number of Teachers
*
Student Grade Level(s)
*
Number of Chaperones
*
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Date/Time Requests
Please indicate below your preferred choice(s) for a self-guided visit date.
Please indicate your first choice for a visit date:
*
Please indicate your second choice for a visit date:
*
Please indicate your third choice for a visit date:
Estimated program start/arrival time at Museum:
*
Estimated program end/departure time from Museum:
*
Please explain, in detail, any special requests or notes regarding your registration or visit.
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Billing Information
Please provide the name, title, address, phone number and email (if applicable) of the person to whom the invoice should be directed.
Billing Name
First Name
Last Name
Billing Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Billing Email
example@example.com
Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Autocompleted Address
Submit
Should be Empty: